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目的分析2008-2012年邢台市肺结核患者来源情况,为有针对性采取结核病防控策略提供依据。方法利用《中国疾病预防控制信息系统》结核病专报系统对肺结核患者就诊内容进行汇总、统计和分析。结果登记的活动性肺结核患者18 503例中,就诊来源依次是因症就诊占54.67%、转诊占22.26%、因症推荐占13.03%,三者合计占总就诊人数的89.98%;登记涂阳肺结核患者11 654例,涂阳检出率为62.98%,就诊来源依次是因症就诊占55.49%、转诊占23.15%、因症推荐占13.53%,三者合计占总就诊人数的92.17%。结论邢台市肺结核感染患者和涂阳肺结核患者就诊方式均以因症就诊、转诊和因症推荐为主;从就诊趋势看,因症推荐和追踪两者构成比呈逐年上升趋势,转诊构成比呈逐年下降趋势,进一步加强医防合作和对转诊未到位患者的追踪、提高综合医疗机构肺结核患者转诊率和追踪到位率对患者规范化治疗管理具有现实意义。
Objective To analyze the source of tuberculosis patients in Xingtai City from 2008 to 2012 and provide basis for targeted prevention and control of tuberculosis. Methods Using the “China Disease Prevention and Control Information System” tuberculosis reporting system to summarize, statistics and analysis of tuberculosis patients. Results Of the 18 503 active tuberculosis patients registered, the sources of their visits were 54.67% for treatment of disease, 22.26% for referral, 13.03% for disease recommendation, accounting for 89.98% of the total number of visits. Registration of smear positive The number of tuberculosis patients was 11 654, with a positive smear-positive rate of 62.98%. The sources of visits were 55.49% due to illness visits, 23.15% referrals and 13.53% due to disease recommendations, accounting for 92.17% of the total visits. Conclusion The treatment methods of TB patients and smear-positive pulmonary tuberculosis patients in Xingtai City are all based on their symptoms, referrals and recommendations based on their symptoms. The trend of referral and follow-up shows that the referral constitutes Compared with the trend of declining year by year, it is of great practical significance to further strengthen cooperation between medical treatment and prevention and follow-up of referral patients and to improve referral rate and follow-up rate of patients with TB in general medical institutions.